Mary Kathleen McQueen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2014037190 Issued in MO

Practice address

17065 S 71 Hyw
Belton, MO 64012-2165

Phone

(816) 348-1200

NPI assigned

Oct 24, 2014

Last updated

Oct 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Katie McQueen Other name

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carbon Health Medical Group of Kansas PAGroup PAC ID 6002218146, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carbon Health Medical Group of Kansas PA

  • Urgent Care Clinic/Center
  • Kansas City, MO
  • NPI 1497357396

  KS

  Medicare reassignment Care Compare group NPD
• Emergent Care Plus, LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Lee's Summit, MO
  • NPI 1396923181
  Medicare reassignment NPD
• VA Eastern Kansas Health Care System

  • Emergency Medicine Physician
  • Leavenworth, KS
  • NPI 1255432951

  MO

  Medicare reassignment NPD
• Saint Luke's Neighborhood Clinics, LLC

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1346783008
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1164827788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17065 S 71 HYW",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-348-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17065 S 71 HYW",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-348-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014037190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MCQUEEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicola McDonald
• Leslie M McDowell, LMT
• Matthew D McKenna, PT
• Kevin M McNamara, D.D.S.
• Adam McNeil, PHARM.D.
• Menm, LLC (Miracle-Ear)
• Abigail Morgan Michels, AUD
• Mid America Balance Institute of Cass County Missouri (MABI of Cass County)
• Midwest Division - RBH, LLC (Belton Regional Medical Center)
• Midwest Division - RBH, LLC (Belton Regional Medical Center Sports Medicine and Rehab)

• Family Nurse Practitioner in Belton, MO
• Providers in Belton, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.